Organization
CAROUCEL KIM CHUATECO MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROUCEL KIM CHUATECO MD (PRESIDENT)
(213) 250-0235
Entity
Organization
Contact information
Practice address
1663 BEVERLY BLVD STE 101, LOS ANGELES, CA 90026-5747
(213) 250-0235
(213) 250-0439
Mailing address
1663 BEVERLY BLVD STE 101, LOS ANGELES, CA 90026-5747
(213) 250-0235
(213) 250-0439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A85249
CA
207RC0000X
Cardiovascular Disease Physician
Primary
C25993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098610
—
CA
Enumeration date
07/15/2006
Last updated
09/11/2025
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